INFORMATION FORM FOR SEXUAL ASSAULT SURVIVORS AT CERTAIN FACILITIES

(a) The commission shall develop a standard information form for sexual assault survivors who arrive at a health care facility that is not a SAFE-ready facility. The information form must include: (1) information regarding the benefits of a forensic medical examination conducted by a sexual assault forensic examiner; (2) the Internet website address to the commission's list of SAFE-ready facilities that includes the facilities' physical addresses as required by Section 323.008; (3) the following statements: (A) "As a survivor of sexual assault, you have the right to receive a forensic medical examination for sexual assault at this hospital emergency room if you are requesting the examination not later than 120 hours after the assault. For parents or guardians of a minor child, your child has the right to receive the forensic medical examination at any time, regardless of when the assault occurred."; and (B) "Call 1-800-656-HOPE to be connected to a sexual assault crisis center for free and confidential assistance."; (4) the names and contact information of legal aid services providers statewide; and (5) information on the procedure for submitting a complaint against the health care facility. (b) A health care facility that is not a SAFE-ready facility shall provide the standard information form developed under this section to each sexual assault survivor who arrives at the facility.